J. BRUCE JACOBS MD INC NPI 1245285931

NPI Information

NPI: 1245285931
Provider Name: J. BRUCE JACOBS, MD, INC

Other Name: HUNTINGTON RADIOLOGY INC

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
2680 SATURN AVE
SUITE 100
HUNTINGTON PARK, CA
ZIP 90255
Phone: (323) 584-3333
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J. BRUCE JACOBS, MD, INC is a radiology clinic center in Huntington Park, CA. J. BRUCE JACOBS, MD, INC NPI is 1245285931. The provider is registered as an organization entity type.
The provider Other Name Is Huntington Radiology Inc.

The provider's business location address is:

2680 SATURN AVE
SUITE 100
HUNTINGTON PARK, CA
ZIP 90255-377
Phone: (323) 584-3333
Fax: (323) 584-3336

The provider's authorized official is Jay Bruce Jacobs .
The authorized official title is President and has the following contact phone number (323) 584-3333.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 12/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DO242A	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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